# ZHAO YANG PAN M.D. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649390717
- **Authorized official:** DR. ZHAO YANG PAN M.D. (M.D.)
- **Authorized official phone:** (213) 617-7673

## Contact information

- **Practice address:** 652 N BROADWAY, SUITE A, LOS ANGELES, CA 90012-2802
- **Practice address phone:** (213) 617-7673
- **Practice address fax:** (213) 626-2168
- **Mailing address:** 652 N BROADWAY, SUITE A, LOS ANGELES, CA 90012-2802
- **Mailing address phone:** (213) 617-7673
- **Mailing address fax:** (213) 626-2168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A055081 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A550810 | — | CA |